Displaying 220891-220900 of 1611142 results.
ID:
220891
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
213224
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220892
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
211140
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220893
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373469
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220894
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373473
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220895
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
706831
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
220896
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
706827
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
220897
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
706829
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
220898
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
706825
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
220899
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1545166
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220900
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1545163
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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